Trademarks Form Tm 19

FORM TM- 19 

THE TRADE MARKS ACT, 1999 

Age nt s  Code  N o: 

Pr opr ie t or s  Code  N o: 

Fee: Rs. 2500 for the first trade mark and Rs.500 for every other trade mark 

Application for the approval by the Registrar under Section 41 of a proposed 
assignment, or of transmission of a trade mark, resulting in exclusive rights in 
different persons for different parts of India, rule 77. 

(To be accompanied by a statement of case in duplicate and a copy of the instrument 
proposed for the assignment or effecting the transmission). 

In the matter of trade mark(s)____________________________________________________________'[Registered under 
NO.(s)____________________________in class(es)______________________________] 

Application is hereby made by  

*(I)2 ____________________the proprietor of the trade mark (s) shown in the accompanying 
statement of case (registered in his name)3 and (used by him)3 in respect of the following 
goods or services________________________________________________ for the approval by the Registrar of a 
proposed assignment of the trade marks(s) to 4__________________________________in respect of the 
following goods or services ____________________.to be sold or otherwise traded in 5 ______________(and 
to 6 ___________________________in respect of all the following goods or services____________________to be 
sold or otherwise traded in 5____________________.) in circumstances that are stated fully in the 
accompanying statement of case. 

*(II)7 _______________who claims that the trade mark(s) shown in the accompanying statement of 
case, was (were) in respect of the following goods or services , namely__________________and on 
the 8___________ day of ____________20_______________transmitted to him [9_______________who was his 
predecessor in title,] by or from [10______________by whom the Trade Mark was then used in 
respect of the following goods or services namely ___________________all in circumstances that are 
stated fully in the accompanying Statement of Case, for the approval by the Registrar of the 
aforesaid transmission. 

All communications relating to this application may be sent to the following address in India. 

Dated this ____________________day of __________20_________ 

11_________________  

SIGNATURE 

NAME OF SIGNATORY IN LETTERS 

To 

The Registrar of Trade Marks, 

The Office of the Trade Marks Registry at 12___________________ 

*Strike out either paragraph (I) or paragraph (II) 

1. To be struck out in the case of unregistered trade mark 

2. Insert the name and address of the proprietor 

3. Strike out either if not applicable 

4. Insert the name(s) and address(es) of the proposed assignee(s) 

5. Insert the name(s) of the place(s) in India 

6. Strike out the bracketed passage if not required. 

7. Insert the name and address of the person who claims a transmission to him.  

8. Insert the date of the transmission 

9. Insert the name and address of the predecessor in title, if any 

10. Insert the name and address of the person who transmitted 

11. Signature of the applicant or of his agent  

12. State the name of the place of the appropriate office of the Trade Marks Registry 

(See rule 4).